343605744-10-12-2023-03-CC-ABLI-CWNQCA-20231016120249

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 343605744
Report Date: 10/12/2023
Date Signed: 10/12/2023 02:46:04 PM

Unsubstantiated

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
SACRAMENTO CC RO, 9835 GOETHE ROAD, SUITE 100
SACRAMENTO, CA 95827

This is an official report of an unannounced visit/investigation of a complaint received in our office on
09/11/2023 and conducted by Evaluator Tanya Washington

PUBLIC

COMPLAINT CONTROL NUMBER: 03-CC-20230911143902

FACILITY NAME:	4TH R - NATOMAS PARK		FACILITY NUMBER:	343605744
ADMINISTRATOR:	TAMSY, TARA		FACILITY TYPE:	840
ADDRESS:	4700 CREST DRIVE		TELEPHONE:	(916) 264-1064
CITY:	SACRAMENTO	STATE: CA	ZIP CODE:	95835
CAPACITY:	100	CENSUS: 70	DATE:	10/12/2023
		UNANNOUNCED	TIME BEGAN:	02:00 PM
MET WITH:	Tara Tamsy		TIME COMPLETED:	02:55 PM

ALLEGATION(S):

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Staff are operating the facility out of ratio

INVESTIGATION FINDINGS:

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At 2:00 p.m. on Thursday, October 12, 2023, Licensing Program Analysts (LPAs) Tanya Washington and Lea Habtom met with Facility Representative (FR), Tara Tamsy for the purpose of an unannounced complaint inspection to deliver complaint finding. It was alleged the facility operated out of ratio. Throughout the course of the investigation, LPA conducted interviews with staff and made observations of facility operation. The facility was not out of ratio during the 2 inspections conducted for the investigation. LPA received conflicting information during interviews about being out of ratio. Staff indicated that their requirement at the facility is 1 staff to 14 children. LPA learned that the facility is usually staffed for 80 children, however, their daily attendance has been between 60-70 children. FR indicated that if staff call out, the facility has substitute staff who are fully qualified and fingerprint cleared who come to assist from other sites. Although the alleged violation may have happened or is valid, the preponderance of evidence standard has not been met to fully prove or disprove that the allegation did or did not occur, therefore, it is unsubstantiated. This report was reviewed with the Facility Representative, Tara Tamsy. A notice of site visit was provided and shall remain posted for 30 days. Appeal rights were provided and explained.

Unsubstantiated

Estimated Days of Completion:

SUPERVISORS NAME: Amanda Blesi
LICENSING EVALUATOR NAME: Tanya Washington
LICENSING EVALUATOR SIGNATURE:	DATE: 10/12/2023

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/12/2023

This report must be available at Child Care and Group Home facilities for public review for 3 years.

LIC9099 (FAS) - (06/04)

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